Varicose veins and superficial venous reflux in the lower extremities are a common condition, and the decision between conservative or surgical treatment in the early stages is a medical decision that needs to be made by both physicians and patients. In this regard, several physicians from the Department of Vascular Surgery, Helsinki University Central Hospital, Finland, including Sell H, Vikatmaa P, Alb?ck A, designed a randomized controlled trial to evaluate and compare the effects of compression and surgical treatment of varicose veins in the lower extremities as a reference in the choice of treatment options. METHODS: 1, 153 patients with varicose veins in the lower extremities with a CEAP classification of grade 2-3 and superficial venous reflux were selected. 2, Randomly assigned to two treatment groups: 77 cases in the conservative treatment group (wearing medical compression stockings) and 76 cases in the surgical treatment group. 3. Clinical examination and evaluation were performed at the initial visit, 1 year and 2 years after treatment. 4, The clinical examination and assessment included Doppler ultrasound (DUS) examination, clinical presentation severity score (VCSS-S), involved venous segment score (VSDS), venous function impairment degree score (VDS) [4], and health-related quality survey. RESULTS: CONCLUSIONS: Drs. Sell and Vikatmaa ultimately concluded that surgical treatment is significantly more effective than compression therapy for superficial venous reflux in uncomplicated lesions. Expert Comment: Dr. Qiang Zhang, vascular surgeon: Drugs and compression stockings as the main means of conservative treatment of varicose veins can only delay the progression of the disease but not treat the root cause of varicose veins. Therefore, drugs can only be used as an adjunctive treatment after varicose vein surgery in the lower extremities. And elastic stockings need to be worn for life, and they are troublesome and expensive to use. The vast majority of patients who initially wear compression stockings now opt for surgery. The development of medicine has also made the surgery of varicose veins in lower limbs more and more minimally invasive. The adoption of minimally invasive surgery has shortened the length of hospital stay from a week in the past to just two days, with Zhang Qiang’s team at Shanghai Ward Medical Center (WorldPath Clinic International), Beijing United Family Hospital (BJU) and Shanghai United Family Hospital (SHU) able to return home in just a few hours. The development of varicose veins will increase the burden on the deep veins and, over time, lead to or worsen the degree of deep venous valvulopathy. Therefore early surgical treatment has more advantages than disadvantages.